NPIMap

Individual provider Active NPI

David Michael Bergman, M.D.

  • Radiation Oncology Physician
  • Bay City, MI
National Provider Identifier
1013302397
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301502000 Issued in MI
Practice address
3180 E Midland Rd
Bay City, MI 48706-2755
Phone
(989) 667-6670
Fax
(989) 667-6688
NPI assigned
Apr 2, 2015
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301502000 MI Primary

Addresses

Primary practice location

3180 E Midland Rd
Bay City, MI 48706-2755

Mailing address

4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone (810) 342-3813

Other practice location 1

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3945

Other practice location 2

1221 South Dr
MT Pleasant, MI 48858-3257
Phone (989) 772-6811

Other practice location 3

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-1021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200518002418 MI Practitioner - Radiation Oncology 9436442316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (517) 205-4800

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301502000MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince May 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
W.a. Foote Memorial Hospital Radiation Oncology CurrentSince Feb 17, 2023 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Feb 17, 2023 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince May 1, 2020 Accepting new patients
W. a. Foote Memorial Hospital Current Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

19675 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-3311

15855 19 Mile Rd
Ste 110
Clinton Township, MI 48038
Phone (586) 263-2230

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#363
Detroit, MI 48202
Phone (313) 916-2020

159 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 640-1000

1102 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-7299

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: dbergman295303@direct.hfhs.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1013302397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BEECHER RD STE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323661",
            "telephone_number": "810-342-3813",
            "fax_number": "810-342-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 E MIDLAND RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062755",
            "telephone_number": "989-667-6670",
            "fax_number": "989-667-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3945",
            "fax_number": "757-594-3184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 South Dr",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488583257",
            "country_code": "US",
            "telephone_number": "989-772-6811",
            "fax_number": "989-772-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-05-25",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301502000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.